Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $67.61 / $100.00	Professional		$45.71	$67.61	$100.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $87.10 / $112.20	Professional		$57.54	$87.10	$112.20
HMSA Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $95.50 / $2,344.23	Professional		$81.28	$95.50	$2,344.23
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $93.33 / $120.23	Professional		$51.29	$93.33	$120.23
United Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $79.43 / $109.65	Professional		$40.74	$79.43	$109.65
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $66.07 / $107.15	Professional		$29.51	$66.07	$107.15